Embolic microspheres inokanganisa hydrogel microspheres ine chimiro chenguva dzose, uye yakajeka saizi, iyo inoumbwa semhedzisiro yekugadziridzwa kwemakemikari paPolyvinyl doro (PVA) zvinhu. Embolic microspheres ine macromer inotorwa kubva kuPolyvinyl doro (PVA), uye iri hydrophic, isingagone, uye inowanikwa mumhando dzakasiyana. Mhinduro yekuchengetedza ndeye 0.9% sodium chloride solution. Iyo yemvura yemvura yeyakafanira polymerized microsphere ndeye 91% ~ 94%. Microspheering inogona kushivirira kumanikidza kwe30%.
Embolic microspheres inoitirwa kushandiswa kuti ishandiswe yehusiku hwearthfornous (avms) uye hypervascular tumors, kusanganisira chiuterine fibroids. Nekuvhara iyo ropa kugovera kunzvimbo yakatarwa, bundu kana malformation anofa nenzara emidziyo uye anoderera muhukuru.
Munyaya ino, isu tichakuratidzai matanho akatsanangurwa nezve mashandisiro aungaita micospheres.
Zvigadzirwa zvekugadzirira
Izvo zvinodikanwa kugadzirira 1 20ml syringe, 2 10ml syringes, 3 1ml syringes, 3ml mishonga, kuputika kwemuchadenga, kusiyanisa mishonga, kusiyanisa media, uye mvura ye jekiseni.
Nhanho 1: Gadzira Chemotherapy Zvinodhaka
Shandisa Scisual scissors kuti uvhenekere chechipoticic mushonga bhodhoro uye dururira iyo chomotherapeutic mushonga mukapu isina kusimba.
Type uye dosage yemishonga yechipothapeuti yemishonga inoenderana nezvinodiwa zvekiriniki.
Shandisa mvura yejekiseni yekunyungudika mishonga yemichero, uye yakakurudzirwa yekuvharirwa inodarika 20mg / ml.
AFrter drugateictic drug yakazonyungudika, iyo chemopotic inodhaka inobviswa neiyo 10ml syringe.
Nhanho yechipiri: Kubvisa kwezvinodhaka-kutakura embolic microspheres
Iwo maikrosphes aive akazungunuswa zvizere, akaiswa sindano ye syringe kubhururuka kuenzanisa kudzvinyirira mubhodhoro,uye bvisa mhinduro uye microspheres kubva kuCillin bhodhoro ne 20ml syringe.
Rega syringe tungamira kwemaminitsi maviri, uye mushure mekunge microsphesferes gadzi, supernatant inosundidzirwa kunze kwemhinduro.
Nhanho 3: Takura iyo ChemothEpeUtic zvinodhaka mune embolic microspheres
Shandisa nzira dze3 dzekuti dzimire kubatanidza syringe ne embolic microsphere uye syringe ne chemotherapy drug, teerera kubatana kwakasimba uye kuyerera.
Sundidzira iyo chemotherapy drug syringe neruoko rumwe, uye dhonza syringe iri mishmenting embolic micmospheres ne rumwe rutivi. Pakupedzisira, iyo chemotherapy drug uye microsphere yakasanganiswa mune 20ml syringe, zunza syringe zvakanaka, uye uisiye kwemaminitsi makumi matatu, zvizarire maminitsi mashanu mukati menguva yemashanu.
Nhanho 4: Wedzera musiyano media
Mushure mekunge microspheed vaitakurwa nemishonga yechipothapeutic kwemaminitsi makumi matatu, huwandu hwemhinduro yacho yakaverengerwa.
Wedzera 1-1.2 times the vhoriyamu yekusiyana nemumiriri mutsauko kuburikidza neyakatevera nzira StopTcock, zunza zvakanaka uye rega mira kwemaminitsi mashanu.
Nhanho 5: Microspheres inoshandiswa mune yekuita maitiro
Kuburikidza nendudzi zvitatu zvekumisa, jekisa nezve 1ML yezvinhu mukati meiyo 1ml syringe.
Microsphesferes yakamiswa mumicrocatheter nekudhonzwa jekiseni.
Zvitunze kuti vaterevendi:
Ndokumbira uve nechokwadi chekushanda.
Simbisa kuti mishonga yeChumbotic haina kunyungudika zvachose usati wakura zvinodhaka.
Kufunga kweMakemotherapy Zvinodhaka Kunoita Zvinodhaka Kuroora, iyo yakakwira iyo yekushambadzira, iyo inokurumidza kuraira kweAdsorption, iyo yakakurudzirwa inodhaka yekutakura zvinodhaka haina kuderera 20mg / ml.
Mvura yakasvibisa chete ye jekiseni kana 5% glucose jekiseni inofanira kushandiswa kunyungudusa chemotherapy zvinodhaka.
Muyero weDoxorubicin Dissolution mumvura isina kusvibirira ye jekiseni yaive nekukurumidza kupfuura 5% glucose jekiseni.
5% glucose jekiseni inodonha pirarubicin zvishoma nekukurumidza kupfuura mvura isina kusvibiswa yejekiseni.
Iko kushandiswa kweIOOMFOMOL 350 sekusiyana kwepakati kwaive kwakawanda kumisikidzwa kune kumiswa kwemiumbi.
Kana ikaburitswa muhukuro kuburikidza nemicrocatheter, pulse jekiseni inoshandiswa, iyo inokodzera kumisikidza microsphere.
Kutumira Nguva: Kukadzi-28-2024